UNDERSTANDING YOUR BILL
HSC 254.156 Disclosure
Sec. 254.156 DISCLOSURE STATEMENT REQUIRED
This facility charges a facility for “medical treatment” and include:
(1) the facility’s median facility fee;
(ii) a range of possible facility fees; and
(iii) the facility fees for each level of care provided at the facility; and
(B) state “This facility charges an observation fee for medical treatment” and include:
(1) the facility’s median observation fee;
(ii) a range of possible observation fees; and
(iii) the observation fees for each level of care provided at the facility.
(e) A facility may include only the information described by Subsection (d) in the required disclosure statement and may not include any additional information in the statement. The facility annually shall update the statement.
(f) A facility shall provide each patient with a physical copy of the disclosure statement even if the patient refuses or is unable to sign the statement. If a patient refuses or is unable to sign the statement, as required by this section, the facility shall indicate in the patient’s file that the patient failed to sign.
(g) A facility shall retain a copy of a signed disclosure statement provided under this section until the first anniversary of the date on which the disclosure was signed.
(h) A facility is not required to provide notice to a patient or a patient’s legally authorized representative under this section if the facility determines before providing emergency health care services to the patient that the patient will not be billed for the services.
(i) A facility complies with the requirements of Subsections (a)(1) and (d)(3) if the facility posts on the facility’s Internet website in a manner that is easily accessible and readable:
(1) the facility’s standard charges, including the fees described by those subsections; and
(2) updates to the standard charges at least annually or more frequently as appropriate to reflect the facility’s current charges.
(3) a facility’s failure to obtain the signed disclosure statement required by this section from the patient or the patient’s legally authorized representative may not be a determining factor in the adjudication of liability for health care services provided to the patient at the facility.
Added by Acts 2019, 86th Leg., R.S., Ch. 1093 (H.B. 2041), Sec. 6, eff. September 1, 2019. Text of section as added by Acts 2019, 86th Leg., R.S., Ch. 1062 (H.B. 1112), Sec. 1
For text of section as added by Acts 2019, 86th Leg., R.S., Ch. 1093 (H.B. 2041), Sec. 6, see other Sec. 254.156.
PATIENT NOTICE AND DISCLOSURE
- This Facility is a freestanding Emergency Room.
- This facility charges rates comparably less to an average hospital visit cost.
- This facility or a physician providing medical care in this facility may be an out-of-network provider for this patient’s health benefit plan provider network.
- A physician providing medical care at this facility may bill separately from the emergency room cost for the medical care provided to a patient.
- This facility is an out-of-network provider for all health benefit plans
- This facility charges a facility fee for medical treatment. This facility charges an observation fee medical treatment.
Reference; HB: 2041; HSC: Section 254.155 ST-F0082
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GUIDE TO YOUR BILL
- You received medical treatment from Our ER center, Watauga, Facility.
- When you were in our ER center, we discussed a small detail and gathered information about your insurance and co-payment/allowance.
- Fees are applicable to your account and invoiced to the insurance company as per the insurance claim. Your insurance may get different claims for doctor assistance.
- The request is processed, and your ER bill with insurance will be compensated in accordance with the benefits in your insurance policy.
- After that, you get an EOB, which is known as an Explanation of Benefits, from your indemnity corporation. It explains the medical costs that are paid during the medical treatment. EOB also suggests an amount that is due. However, this price is almost always overestimated or inaccurate.
- We will collaborate with your insurance vendor to ensure your indemnity allowances are used correctly in your claim. – If you have additional financial obligations, you will get reports detailing what was covered in the insurance and the remaining amount.
- The invoicing procedure is now finished. You can contact us anytime for queries or complaints about emergency room visit costs without insurance.
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Emergency Insurance Coverage in Texas
Make paying your medical bill a breeze with our convenient insurance payment options. At Er of Watauga, we understand that managing medical expenses can be overwhelming. That’s why we offer seamless integration with various insurance providers, allowing you to easily submit claims and apply your insurance coverage towards your bill.
To pay your medical bill with insurance, simply provide us with your insurance information, and we’ll take care of the rest. We’ll work diligently to verify your coverage, submit the necessary documentation, and facilitate direct payments from your insurance provider.
Experience peace of mind knowing that you can pay your medical bill with insurance at ER of Watauga. Let us handle the paperwork while you focus on your well-being. Contact our billing department today to learn more about our insurance payment options and take control of your medical expenses.
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At ER Dallas, we collaborate to remove the misunderstanding and complexities of health-related insurance claims. Our registry, payment, and compensation methods are straightforward and smooth for our patients. We never overcharge patients, and there are no hidden medical costs. We take excellent care to verify every claim and guarantee that your insurer handles the request correctly. We always counsel on our patient’s behalf.
Navigate your medical insurance bill with ease. Decode complex charges and coverage. Uncover the details and make informed decision